Jarvis-Ch. 32: Functional Assessment of the Older Adult (2025 )Latest Questions With Passed Solutions!!
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Jarvis-Ch. 32: Functional Assessment of the Older
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Jarvis-Ch. 32: Functional Assessment Of The Older
1. During a morning assessment, the nurse notices that an older patient is less attentive
and is unable to recall yesterday's events. Which test is appropriate for assessing the
patient's mental status?
A. Geriatric Depression Scale, Short Form
B. The Physical Performance Test
C. Mini-Cog
D. ...
Jarvis-Ch. 32: Functional Assessment of
the Older Adult
1. During a morning assessment, the nurse notices that an older patient is less attentive
and is unable to recall yesterday's events. Which test is appropriate for assessing the
patient's mental status?
A. Geriatric Depression Scale, Short Form
B. The Physical Performance Test
C. Mini-Cog
D. The Get Up and Go Test - ✔️✔️ANS: C
For nurses in various settings, cognitive assessments provide continuing comparisons
to the individual's baseline to detect any acute changes in mental status. The Mini-Cog
is a mental status test that tests immediate and delayed recall and visuospatial ability.
The Geriatric Depression Scale, Short Form assess for depression and changes in the
level of depression, not mental status. The Physical Performance Test assesses
activities such as eating, dressing, transferring, and stair climbing, but not mental status.
The Get Up and Go Test assesses functional mobility, not mental status.
2. An elderly patient has been admitted to the intensive care unit (ICU) after falling at
home. Within 8 hours, his condition has stabilized and he is transferred to a medical
unit. The family is wondering whether he will be able to go back home. Which
assessment instrument is most appropriate for the nurse to choose at this time?
A. The Lawton IADL instrument
B. Hospital Admission Risk Profile (HARP)
C. The Mini-Cog
D. The NEECHAM Confusion Scale - ✔️✔️ANS: B
Hospital-acquired functional decline may occur within two days of a hospital admission.
The HARP helps to identify older adults who are at greatest risk for loss of ADLs or
mobility at this critical time. The Lawton IADL measures instrumental activities of daily
living, which may be difficult to observe in the hospital setting. The Mini-Cog is an
assessment of mental status. The NEECHAM Confusion Scale is used to assess for
delirium.
3. The nurse needs to assess a patient's ability to perform activities of daily living and
should choose which tool for this assessment?
A. Direct Assessment of Functional Abilities (DAFA)
B. Lawton IADL
C. Barthel Index
D. Older Americans Resources and Services Multidimensional Functional Assessment
Questionnaire-IADL (OARS-IADL) - ✔️✔️ANS: C
The Barthel Index is used to assess activities of daily living. The other options are used
to measure instrumental activities of daily living
, 4. The nurse is preparing to use the Lawton IADL instrument as part of an assessment.
Which statement about the Lawton IADL instrument is true?
A. The nurse uses direct observation to implement this tool.
B. It is designed as a self-report measure of performance rather than ability.
C. It is not useful in the acute hospital setting.
D. It is best used for those residing in an institutional setting - ✔️✔️ANS: B
The Lawton IADL instrument is designed as a self-report measure of performance
rather than ability. Direct testing is often not feasible, such as demonstrating the ability
to prepare food while a hospital inpatient. Attention to the final score is less important
than identifying a person's strengths and areas where assistance is needed. The
instrument is useful in acute hospital settings for discharge planning and continuously in
outpatient settings. It would not be useful for those residing in institutional settings
because many of these tasks are already being managed for the resident.
5. The nurse is assessing an older adult's advanced activities of daily living, which
would include:
A. Recreational activities.
B. Meal preparation.
C. Balancing the checkbook.
D. Self-grooming activities. - ✔️✔️ANS: A
Advanced activities of daily living (AADL) are activities that an older adult performs such
as occupational and recreational activities. Self-grooming activities are basic activities of
daily living (ADLs); meal preparation and balancing the checkbook are considered
instrumental activities of daily living (IADLs)
6. The nurse is assessing the abilities of an older adult. Which of these following
activities are considered instrumental activities of daily living? Select all that apply.
A. Feeding oneself
B. Preparing a meal
C. Balancing a checkbook
D. Walking
E. Toileting
F. Grocery shopping - ✔️✔️ANS: B, C, F
Typically, instrumental activities of daily living tasks include shopping, meal preparation,
housekeeping, laundry, managing finances, taking medications, and using
transportation. The others listed are activities of daily living related to self-care.
7. The nurse is administering a test that is timed over 15 minutes and assesses a
patient's upper body fine motor and coarse motor activities, balance, mobility,
coordination, and endurance. During this test, activities such as dressing and stair
climbing are timed. Which test is described by these activities?
A. The Get Up and Go Test
B. The Performance Activities of Daily Living
C. The Physical Performance Test
D. Tinetti Gait and Balance Evaluation - ✔️✔️ANS: C
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